Parkside Care Corporation II

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PARKSIDE CARE CORPORATION II

Practice address

1001 Eastwind Dr Ste 401
Westerville, OH 43081-3318

Phone

(614) 715-2188

Fax

(614) 715-2198

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abdideq Ali

Title

Operations Manager

Phone

(440) 286-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Care Corp. Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 367723

Legal name

PARKSIDE CARE CORPORATION II

Doing business as

CARE CORPORATION

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 26, 1996

Last certification

Aug 15, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 17, 1984 in OH

Enrollment address

1001 Eastwind Dr
Ste 401
Westerville, OH 43081-3318

Listed as

Parkside Care Corp IICCN 367723

Ownership

Proprietary

Certified

Dec 26, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1629116702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 EASTWIND DR STE 401",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813318",
            "telephone_number": "614-715-2188",
            "fax_number": "614-715-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EASTWIND DR STE 401",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813318",
            "telephone_number": "614-715-2188",
            "fax_number": "614-715-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE CARE CORPORATION II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDIDEQ",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "440-286-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023401",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASIS ID",
            "identifier": "OH01421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Parker
• Katherine Elizabeth Parker, CNP
• Deanna K Parkhurst, PT
• Josiah Parkhurst, DPT
• Thomas M Parkhurst, PT
• Parla Speech, Language, & Literacy, LLC
• Steffanie L Parnacott, OTR/L
• Marc Louis Parnes, MD
• Tera Lynn Parrella, PHARMD, RPH
• John A Parrish, O.D.

• Home Health Agency in Westerville, OH
• Providers in Westerville, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.